Bumberry, Laura A.

Bumberry, Laura A. is an individual health care provider with primary practice located at 1129 Macklind Ave , Saint Louis MO 63110-1440. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bumberry, Laura A. can be contacted via phone (314) 534-0200.

Contact Information

Primary practice address
1129 Macklind Ave Saint Louis MO 63110-1440
Phone: (314) 534-0200
Fax: (314) 534-7996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2009034694 Missouri

Profile Details

NPI number 1295943082
LBN Legal business name Bumberry, Laura A.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jan 12th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295943082 NPPES
Missouri Other 23-2812942 ST. LOUIS BEHAVIORAL MEDICINE INSTITUTE

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